LAKE OCONEE WELLNESS ASSOCIATES LLC (NPI# 1073005138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073005138 |
Entity Type | Organization |
Organization Name | LAKE OCONEE WELLNESS ASSOCIATES LLC |
Practice Address |
1097 Lake Oconee Pkwy Ste 201 Eatonton GA 31024-9510 |
Mailing Address |
1171 Laurel Pointe Watkinsville GA 30677-7559 |
Practice Telephone | 7066140828 |
Mailing Telephone | 7066140828 |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |
Authorized Official Name | DON WRIGHT (MEMBER/MANAGER) |
Authorized Official Telephone | 7066140828 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1097 LAKE OCONEE PKWY STE 201 |
City | EATONTON |
State | GA |
Zip Code | 31024-9510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578972329 | Touch A Life Health Care (llc) | Public Health or Welfare | 105 Troy Edwards Rd., Eatonton, GA 31024 | 2014-08-06 |
1275714438 | O Akhras Md PC | Clinic/Center | 120 Sparta Hwy, Eatonton, GA 31024 | 2007-11-16 |
1679769640 | Oconee Community Service Board | Community/Behavioral Health | 101 East Sumpter, Eatonton, GA 31024 | 2007-09-24 |
1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
1164501367 | Brian E Prell | Physical Therapist | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2006-11-06 |
1548352982 | Herman V Barnes | Internal Medicine | 105 Ashland Pl, Eatonton, GA 31024 | 2006-09-29 |
1801180591 | Hannah Meigan Johnson Miller | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2011-05-31 |
1649415217 | Lake Oconee Rehabilitation and Performance Center, LLC | Clinic/Center | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2008-12-10 |
1427139310 | Thomas L Brown | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2006-10-18 |
1306857032 | Putnam County Board of Health | Public Health or Welfare | 103 N Washington St, Eatonton, GA 31024 | 2006-08-10 |
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Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
1619493939 | Unicare Family Practice | Family Medicine | 4439 Austell Rd, Austell, GA 30106-1839 | 2017-08-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.